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11-08-1995 d: 18PM Ff AGE NC 209 SSG 0700 • P 1 <br /> SAN JOAQUIN COUNTY ;Q, ��C .,2-2 3 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT I i Cv¢ I t0 r PHONE NO Cl$ (o- 0 ZToy <br /> ADDRESS Ili o' ? w . A•1 A ALH /-A.,; ST f. <br /> AGENCY NAME A_Qv A He Ln Geo P A V I'/O.t,,,*e,,ialPHONE NO 9 5 b C Z b`4 <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> L oo lNw,. .1 <br /> LOO P ��b7 11 A) 636ssc.r Ab <br /> b401 }j I a e 0 E. 5+Q+-F. 1-h • I 1 . <br /> LnOI -710 Al , 5+7 .AQMPAJ�p S-#Yre(+ PAY_Mq-W_ <br /> Loo 1 -* 35 M . CHCA,Ket Lgnd' <br /> op 3q b1S C. La* I Ave- Nov = 7jg5-- <br /> I-ert zdI OAK S4-• <br /> L�01 X00 $, f3£GxwA v AD401 — jUAOUIN r'u w-V - <br /> RII EcNHEALTH <br /> ENVIRnni.. ES <br /> TA SE -' <br /> L MEALTH DIVISION <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE-AND THE EVIDENCE CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:90 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILEWRECORDS SHALL NOT BE RE-MOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE III J Q 5 <br /> SIGNATURE OF RELEASING OFFICIAL DATE <br /> EH 00 14 (REV 12/92) <br />